E/M Coding Alert - 2013 Issue 2
You Be the Coder: Beware Lap to Open Conversions
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Article Overview
This article reviews a surgical coding scenario involving conversion from a laparoscopic approach to an open procedure during ventral or incisional hernia repair. It is aimed at coders and auditors who need to understand the general reporting implications of converted procedures, associated ancillary reporting, and documentation-related considerations.
Why This Topic Matters
Converted procedures are a common source of coding errors, and correct reporting affects claim accuracy and compliance. This piece helps readers understand the broad coding issue involved in lap-to-open surgery cases and the documentation context that may accompany such claims.
Article Sections
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Question
Introduces a surgery coding scenario involving a hernia repair that begins laparoscopically and is converted to an open approach, along with the coding question raised by the subscriber.
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Answer
Explains the general reporting approach for converted laparoscopic-to-open procedures and discusses the related coding and documentation considerations raised by the case.
What You Will Learn
- How converted laparoscopic-to-open surgery cases are discussed in coding guidance
- The general documentation issues that may arise in hernia repair reporting
- Why ancillary reporting and modifier considerations may be relevant in conversion cases
- How diagnosis coding can be used to reflect a conversion event at a high level
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Billing personnel
- Surgery practice staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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